Xerox Health and Safety Site Audit - Xerox and Initial

• Audit Title

• Client / Site Name

• Location / Address
  Address

• Conducted on

  Date

• Date of last Audit

  Date

• Personnel

• Prepared by

• Main Work Activity

Summary

• Additional comments

• Level of Risk at Site

  Select Low Medium High

  • Low
  • Medium
  • High

Audit Feed-Back to Health and Safety Department

• Location/Site Manager

  Date

• Initial Facilities Manager

  Date

• Safety Representative

  Date

• Signature

  Sign

Documentation

• Health and Safety checklists as completed by Location/Site Manager available

  Yes

  No

  N/A

• Actions identified on Health and Safety checklist closed down

  Yes

  No

  N/A

• Location Health and Safety personnel in place: First Aiders or Appointed Person

  Yes

  No

  N/A

• Location Health and Safety personnel in place: Fire Wardens

  Yes

  No

  N/A

• Location Health and Safety personnel in place: Safety Representatives (if applicable)

  Yes

  No

  N/A

• Health and Safety Notice Board contains all relevant information: Law poster

  Yes

  No

  N/A

• Health and Safety Notice Board contains all relevant information: Xerox Health and Safety Policy

  Yes

  No

  N/A

• Health and Safety Notice Board contains all relevant information: Employers Liability Insurance Certificate

  Yes

  No

  N/A

• Health and Safety Notice Board contains all relevant information: Site Health and Safety Organisation Chart

  Yes

  No

  N/A

• Health and Safety Notice Board contains all relevant information: Other relevant Health and Safety Information

  Yes

  No

  N/A

• Health and Safety Notice Board contains all relevant information: Fire Evacuation Procedure

  Yes

  No

  N/A

• Xerox Health and Safety Site Register available (Managed by Initial Facilities Manager)

  Yes

  No

  N/A

• Xerox Health and Safety Register contained all records as per agreed contents matrix

  Yes

  No

  N/A

• Building Fire Certificate available (if applicable)

  Yes

  No

  N/A

• Fire Risk Assessment available for inspection and reviewed

  Yes

  No

  N/A

• Weekly Fire Alarm test records available

  Yes

  No

  N/A

• Six Monthly site evacuation records available

  Yes

  No

  N/A

• Is the 5 year building electrical certification available and in date

  Yes

  No

  N/A

• COSHH. Records reflect all substances held on site. (To be checked during walk around)

  Yes

  No

  N/A

• Site maintenance schedules available. Emergency lighting, water treatment/testing, etc

  Yes

  No

  N/A

• Training records available. Fire Wardens

  Yes

  No

  N/A

• Training records available. First Aiders

  Yes

  No

  N/A

• Training records available. Other e.g. Lift Trucks

  Yes

  No

  N/A

• Risk Assessment available. General

  Yes

  No

  N/A

• Risk Assessment available. Display Screen Equipment

  Yes

  No

  N/A

• Risk Assessment available. Manual Handling

  Yes

  No

  N/A

• Risk Assessment available. COSHH

  Yes

  No

  N/A

• Risk Assessment available. Site Specific

  Yes

  No

  N/A

• Risk Assessment available. Third Party Machine

  Yes

  No

  N/A

• Risk Assessment available. Xerox Machine

  Yes

  No

  N/A

• Risk Assessment available. Lift Truck

  Yes

  No

  N/A

• Current Disaster Plan available

  Yes

  No

  N/A

• Site Accident Reporting Book available

  Yes

  No

  N/A

• All Safety Signage on site meets requirements of Regulations and Company standards

  Yes

  No

  N/A

• Are written Emergency Procedures available and up-to-date

  Yes

  No

  N/A

• Electrical appliance testing (PAT) up-to-date. Records held and items marked

  Yes

  No

  N/A

• Lone working process being used on site

  Yes

  No

  N/A

Visual checks

• Housekeeping. Tops of cupboards clear

  Yes

  No

  N/A

• Housekeeping. Underside of desks clear

  Yes

  No

  N/A

• Housekeeping. Clear desk policy adopted on site

  Yes

  No

  N/A

• Housekeeping. Waste disposed of correctly

  Yes

  No

  N/A

• Housekeeping. Wall washing, vacuuming, bin emptying, carpet spot cleaning, centre feeds in place, dusting, waste collections (have uplifts taken place, bin labels correct and in place)

  Yes

  No

  N/A

• Housekeeping. Meeting room checks, are telephones working, lite pro's operational, cables tidy and chairs

  Yes

  No

  N/A

• Fire safety. Fire exit routes clear

  Yes

  No

  N/A

• Fire safety. Fire doors unblocked and able to be opened in an emergency

  Yes

  No

  N/A

• Fire safety. Fire extinguishers in place on stands

  Yes

  No

  N/A

• Fire safety. Fire extinguishers in test date

  Yes

  No

  N/A

• Fire safety. Fire extinguishers tags in place

  Yes

  No

  N/A

• Fire safety. Fire alarm log book weekly test records updated

  Yes

  No

  N/A

• Fire safety. Fire alarm maintenance records (PPM Schedule)

  Yes

  No

  N/A

• Fire safety. Fire evacuation records (six monthly)

  Yes

  No

  N/A

• Fire safety. Fire hose reel / dry riser maintenance records

  Yes

  No

  N/A

• Fire safety. Fire Hydrant test records and PPM schedule

  Yes

  No

  N/A

• Furniture. Is furniture in a good condition

  Yes

  No

  N/A

• Furniture. Are chairs in good condition

  Yes

  No

  N/A

• Walkways, corridors and stairways clear and not used for storage and free of trip hazards

  Yes

  No

  N/A

• Electrical Safety. Is all electrical equipment in a safe condition

  Yes

  No

  N/A

• Electrical Safety. Are cables run in a way so as not to pose a trip hazard

  Yes

  No

  N/A

• Electrical Safety. Are cables to desk utilising cable management systems

  Yes

  No

  N/A

• Electrical Safety. Electrical PA testing schedule and test books

  Yes

  No

  N/A

• Storage areas. Items stored in a safe manner

  Yes

  No

  N/A

• Storage areas. Kick stools/steps available to reach any items stored above shoulder high

  Yes

  No

  N/A

• Cleaners cupboard: Items stored in a safe manner

  Yes

  No

  N/A

• Cleaners cupboard: Electrical equipment in test date

  Yes

  No

  N/A

• Cleaners cupboard: Items used match COSHH information

  Yes

  No

  N/A

• Plant Rooms. Are not being used for storage

  Yes

  No

  N/A

• Plant Rooms. Are free of waste materials

  Yes

  No

  N/A

• Plant Rooms. Are kept locked shut

  Yes

  No

  N/A

• Plant Rooms. Statutory notices displayed

  Yes

  No

  N/A

• Riser/Supply/Distribution type cupboards. Are kept locked shut

  Yes

  No

  N/A

• Riser/Supply/Distribution type cupboards. Are free from waste materials

  Yes

  No

  N/A

• Riser/Supply/Distribution type cupboards. Are not being used for storage

  Yes

  No

  N/A

• Kitchen. Is water signed as potable

  Yes

  No

  N/A

• Kitchen. Vending machines and water coolers are replenished, any faults reported and filters checked / serviced

  Yes

  No

  N/A

• Kitchen. Is the area clean and hygienic

  Yes

  No

  N/A

• Kitchen. Is refrigerator/s clean

  Yes

  No

  N/A

• Kitchen. Are appliances in good order (kettle, etc)

  Yes

  No

  N/A

• First Aid Box. Do the items match the contents list

  Yes

  No

  N/A

• First Aid Box. Are all items within use by date

  Yes

  No

  N/A

• First Aid Box. List of first Aiders posted next to the box

  Yes

  No

  N/A

• Welfare facilities. Are there sufficient facilities for the number of staff (inc. disabled)

  Yes

  No

  N/A

• Welfare facilities. Are the facilities clean and hygienic

  Yes

  No

  N/A

• Welfare facilities. Are there sufficient supplies of consumables

  Yes

  No

  N/A

• Welfare facilities. Washrooms and mats, have femi-hygiene been serviced, mats replaced, air freshener s working

  Yes

  No

  N/A

• Print Rooms. Has Xerox equipment been tested for safety in the last 6 months

  Yes

  No

  N/A

• Print Rooms. Is paper stored in a safe manner

  Yes

  No

  N/A

• Print Rooms. Is the area free from waste materials

  Yes

  No

  N/A

• Outside. Is the waste compound without risk

  Yes

  No

  N/A

• Outside. Are all final exits clear

  Yes

  No

  N/A

• Outside. Are all walkways free from trip hazards

  Yes

  No

  N/A

• Outside. Is the assembly point clearly identified

  Yes

  No

  N/A

• Outside. External check, external bins emptied, litter collected and in general good condition

  Yes

  No

  N/A

• Outside. Building light checks (any failures not reported)

  Yes

  No

  N/A

• Outside. Security - Has access control been checked, are swipe readers and cards working

  Yes

  No

  N/A

• Outside. CCTV in operation, cameras viewing the right area and if recording equipment is on site is this working?

  Yes

  No

  N/A

• Inside. Internal lighting in good working order / faults reported?

  Yes

  No

  N/A

GDO Site Specific

• Seven Health and Safety awareness cascade been viewed

  Yes

  No

  N/A

• Training Records: Induction

  Yes

  No

  N/A

• Training Records: Seven Awareness Cascades

  Yes

  No

  N/A

• Training Records: Xerox and Third Party Equipment

  Yes

  No

  N/A

• Training Records: Personal Log Books

  Yes

  No

  N/A

• Finishing equipment: Machinery Risk Assessments Available

  Yes

  No

  N/A

• Finishing equipment: Maintenance agreements in Place

  Yes

  No

  N/A

• Finishing equipment: Maintenance Log Books Available

  Yes

  No

  N/A

• Personal Protective Equipment (PPE): Have Risk Assessments identified a needs for PPE

  Yes

  No

  N/A

• Has PPE been issued

  Yes

  No

  N/A

• Is PPE worn as required by Risk Assessments

  Yes

  No

  N/A

• Have staff received PPE training in the: Use

  Yes

  No

  N/A

• Have staff received PPE training in the: Maintenance/cleaning

  Yes

  No

  N/A

• Have staff received PPE training in the: Storage

  Yes

  No

  N/A

• Have staff received PPE training in the: Replacement

  Yes

  No

  N/A

Facilities

• Visits / FM reports completed

  Yes

  No

  N/A

• Annual PPM plan (where is it located)

  Yes

  No

  N/A

• Monthly Reactive Reporting in place

  Yes

  No

  N/A

• Ventilation Ductwork Fire dampers maintenance records

  Yes

  No

  N/A

• Yearly Fixed Wire Inspection and Testing Records

  Yes

  No

  N/A

• Permit to works / Hot Works

  Yes

  No

  N/A

• Fire Alarm Maintenance Records (PPM Schedule)

  Yes

  No

  N/A

• Fire Hose Reel / Dry Riser Maintenance Records

  Yes

  No

  N/A

• Fire Hydrant Test Records and PPM Schedule

  Yes

  No

  N/A

Environmental

• Environmental Policies incl. Energy, Carbon management & Sustainability

  Yes

  No

  N/A

• Air Quality Risk Assessments including sampling records, Sampling to include: dry bulb, temperature relative humidity, respired carbon dioxide, Ozone, formaldehyde, respirable particle concentrations, airborne bacteria, airborne moulds and yeasts, other specialist tests as necessary. AHU internal hygiene inspection and representative sections of supply and return air ductwork inspected.

  Yes

  No

  N/A

• Waste Stream Reviews, including Waste Transfer Notes (Section D to be signed), Duty of Care Certificates

  Yes

  No

  N/A

• Pest Control Log Book

  Yes

  No

  N/A

• Water Coolers Filter Servicing PPM Schedules

  Yes

  No

  N/A

• Asbestos Register completed

  Yes

  No

  N/A

Systems and Equipment Certification

• UPS Battery Maintenance Records

  Yes

  No

  N/A

• M&E Annual Conditions Report

  Yes

  No

  N/A

• Generator Test Record and PPM Schedule

  Yes

  No

  N/A

• Gas Safety Inspection Certificate

  Yes

  No

  N/A

• Zurich Inspection reports, Lifts, Lifting Equipment, Boilers & Pressure Vessels

  Yes

  No

  N/A

• Cradle Runway Test Certificates

  Yes

  No

  N/A

• Other Lifting Equipment (Forklifts, Pallet Trucks etc)

  Yes

  No

  N/A

• Lightning Conductor Service and Certificate

  Yes

  No

  N/A

• Electrical PA Testing Schedule and Test Books

  Yes

  No

  N/A

• Catering Equipment Maintenance Records including Canopy / Extract Cleans

  Yes

  No

  N/A

• Emergency Lighting Records

  Yes

  No

  N/A

• Annual Maintenance Records and Test Inspections

  Yes

  No

  N/A

• Thermal Imaging Inspections and records for proposed remedial work

  Yes

  No

  N/A

Water Quality Assessments

• Water Quality Assessment

  Yes

  No

  N/A

• Potable Water Chlor. Certificate

  Yes

  No

  N/A

• Legionella Testing & Certificates

  Yes

  No

  N/A

• Monthly tap outlet temperature records (Cold water 20 degrees, Hot water at 60 degrees)

  Yes

  No

  N/A

• Quarterly Shower Head Chlorination Records

  Yes

  No

  N/A